Diabetes Control Using Postprandial Feedback

Active Publication Date: 2017-09-14
NATH RATTAN +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0011]We have discovered that many fat or fatty acid absorption inhibiting compositions and compounds have an entirely unexpected benefit. They facilitate the use of postprandial exercise as a tool to regulate blood/plasma glucose levels and to even reverse Type-2 Diabetes and make possible the design and use of an entirely different instrument that integrates diet, exercise and glycemic control. These substances have not been reported to synergize with exercise, despite their use for r

Problems solved by technology

In addition sustained abnormally high glucose levels are associated with the risk of strokes, blindness, thickening of the skin, dry skin, infections, and the like.
But in the short term, too low a blood glucose level, termed hypoglycemia, is life threatening.
As a result, in treating diabetes if blood glucose levels are controlled using Traditional Medications to be very close to the normal levels, the risk of hypoglycemia and of PPHG spikes increases as does overall mortality.
Therefore, physicians err on the side of allowing hyperglycemia rather than hypoglycemia when prescribing medications.
Unsurprisingly, sustained hyperglycemia makes T2D a progressive disease that is effectively impossible to reverse by medications alone.
It is known that increased body weight and obesity are risk factors for developing T2D.
While targeting obesity may be sufficient for treating T2D, we realized that it is not a necessary condition or even a useful target in and of itself.
Hypoglycemia is the major risk facing T2D patients using medications to control their plasma glucose levels.
Most of the medications for treating T2D—including the standard of care treatment of initiating treatment with metformin (a biguanide)—carry a significant risk of facilitating hypoglycemia.
An increase in glucose usage can result in hypoglyc

Method used

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  • Diabetes Control Using Postprandial Feedback
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  • Diabetes Control Using Postprandial Feedback

Examples

Experimental program
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Effect test

example 1

[0071]A 54 year old man was diagnosed with Type 2 DM, dyslipidemia with overweight (BMI 29). He was initially diagnosed to have prediabetes at age of about 35 and then at age=54 was noted to have overt type 2 diabetes. At age 56 he was found to have HbA1c of about 8 with fasting glucose levels of 170 mg / dL. The family history was noteworthy with both parents and sibling having diagnosis of hypertension, T2D and obesity. Physical exam noted BMI 30.2. He had received prescription for metformin and statin upon initial diagnosis to control glucose levels and dyslipidemia but had not continued the therapy in view of being advised of the progressive nature of the disease and being discouraged by the prognosis and the failure to Metformin to sufficiently reduce the blood glucose levels—even with the doubling of the Metformin dose.

example 2

[0072]The patient of Example 1 was encouraged to track glucose levels, including postprandial glucose levels, to observe the effect of postprandial exercise and lifestyle changes. To control triglyceridemia he also started over the counter orlistat at a 60 mg dose daily with a daily multi-vitamin supplement and an additional vitamin D supplement. He had discontinued metformin and statins. Instead close monitoring of blood glucose levels was undertaken.

[0073]Postprandial exercise was initiated by the patient sua sponte after each meal as he sought to adjust the meals to control blood glucose levels. FIG. 3 shows how a hypothetical subject may adjust a diet using our method to bring about lifestyle changes. At step 300 an evaluation is made as to whether a subject's postprandial glucose level drops to about 100 mg / dL or less using about fifteen minutes of exercise. If the glucose level does not drop to about 100 mg / dL, control flows to step 305, during which one or more Exercise Sensi...

example 3

[0076]The 56 year old subject of Example 2 exercised in the postprandial state within about an hour and a half after eating but was not treated with Traditional Medications or any Exercise Sensitizer for more than a week. Following exercise, blood / plasma glucose levels dropped by about 20 mg / dL but further drops required intense exercise and the blood glucose levels stayed stubbornly high.

[0077]The descriptions in the art are consistent with this observation in that exercise required to reduce blood glucose levels is relatively intense. It is against this background that the role of Exercise Sensitizers in making even a brisk walk sufficient for reducing blood glucose levels becomes even more significant. As shown in Examples 10, 11 and 12, the level of exercise is relatively low intensity and does not take more time than what has been observed for intense exercise in the prior art using folks in prime physical shape.

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Abstract

Disclosed is a postprandial glucose-measuring device for preventing the development of or reversing T2D. Included are methods for using the device as well as better use for invasive and noninvasive glucose meters. Further disclosed are novel exercise-sensitizing compositions useful for managing blood glucose levels in Type-2 diabetics with minimal risk of hypoglycemia. The disclosed glucose meters allow a user to also measure exercise and meal size—all with relatively instant feedback—more effectively than having to track the complexity posed by labels, glycemic index and calories. Also disclosed is integration of glucose-measuring devices with smartphones and health monitoring technology to make possible safe and effective interpretation of postprandial glucose readings by a patient to control or reverse Type-2 diabetes.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims benefit of U.S. Provisional Application No. 62 / 071,044, filed Sep. 11, 2014, the U.S. Provisional Application No. 62 / 177,905, filed Mar. 26, 2015, and U.S. Provisional Application No. 62 / 183,267, filed Jun. 23, 2015, and the U.S. patent application Ser. No. 14 / 852,455 filed on Sep. 11, 2015 the contents of which are hereby incorporated by reference.BACKGROUND[0002]Type-2 diabetes (“T2D”) is one of the most common chronic diseases afflicting humans. The hallmark of T2D is abnormally elevated blood glucose levels. Further, dyslipidemia is encountered in many T2D patients. Dyslipidemia typically manifests itself as elevated Low Density Lipoprotein (LDL), depressed High Density Lipoprotein HDL levels and elevated triglyceride levels. About 79 million Americans ages had prediabetes, a predisposition to develop diabetes, about 1.9 million cases of Americans ages were newly diagnosed with T2D adding to the 25.6 million, o...

Claims

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Application Information

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IPC IPC(8): A61B5/00A61K31/59A61K31/355A61B5/1486A61K33/06A61K45/06A61B5/145A61K31/07A61K31/202
CPCA61B5/486A61B2562/0295A61K31/59A61K31/355A61K31/202A61K33/06A61K45/06A61B5/14532A61B5/742A61B5/14517A61B5/14865A61B5/6898A61B5/4277A61B5/0002A61B5/4866A61K31/07
Inventor NATH, RATTANVYAS, SHEFALI
Owner NATH RATTAN
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